Active NPI
Wendy Ruth Campbell, ARNP
- Family Nurse Practitioner
- Fort Rucker, AL
National Provider Identifier
1912964115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024175379
- Practice address
- Lyster Army Health Clinic
301 Andrews Avenue
Fort Rucker, AL 36362 - Phone
- (800) 261-7193
- NPI assigned
- May 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 044353-23-03 | NH | |
| Family Nurse Practitioner | 363LF0000X | 0024175379 | VA | Primary |
Addresses
Primary practice location
Lyster Army Health Clinic
301 Andrews Avenue
Fort Rucker, AL 36362
Mailing address
Lyster Army Health Clinic
301 Andrews Avenue
Fort Rucker, AL 36362-5333
Phone (800) 261-7193
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024175379 | VA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1912964115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LYSTER ARMY HEALTH CLINIC",
"address_2": "301 ANDREWS AVENUE",
"city": "FORT RUCKER",
"state": "AL",
"postal_code": "363625333",
"telephone_number": "800-261-7193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LYSTER ARMY HEALTH CLINIC",
"address_2": "301 ANDREWS AVENUE",
"city": "FORT RUCKER",
"state": "AL",
"postal_code": "36362",
"telephone_number": "800-261-7193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "WENDY",
"middle_name": "RUTH",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-01",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "044353-23-03",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024175379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Rucker, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.